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LEAP: Leadership Education for Adult Professionals

Request Information

If you would like to receive more information regarding this program, or sign up for an Information Session, please submit the form below. Thank you for your interest in the LEAP program!

You must be at least 23 in order to qualify for the LEAP program.

Contact Information

1. First Name *
2. Middle Initial
3. Last Name *
4. Address *
5. City *
6. State * Select State Non-USAL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY
7. Zip *
8. Home Phone *
9. Cell Phone
10. Work Phone
11. E-mail *
12. Age

Information Session

1. Please reserve Information Session space for Degree Programs
   6 pm, Mon, June 11
   6 pm, Mon, July 23
   6 pm, Mon, August 20
   6 pm, Mon, September 10
   
2. Term of interest Select Term October, 2012 April, 2013 October, 2013 April, 2014 October, 2014
3. Program(s) of study *
   Associate of Arts
   B.A. Business Management
   B.A. Elementary Education
   B.A. General Studies
   B.A. Ministry Leadership
   B.A. Psychology
   Certificate Christian Faith & Practice
   Certificate Ministry Leadership
   
4. I found out about LEAP from
   Radio
   Ad
   Brochure at Work
   Internet Search
   Friend
   E-mail
   Other
5. Why I am pursuing my degree
   Personal satisfaction
   Required license/credential/certification in vocation
   Networking / peers
   Career advancement
   Career change
   Tuition assistance/reimbursement opportunity
   Finishing prior educational attempt
   Other
6. Have you ever attended Northwest University?
   Yes
   No
   

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